I think the medical field is far more influenced by growing knowledge than from political pressure. Gender dysphoria existed for a long time before it was politicized.
"Consenting adult(s)" is a key phrase throughout all matters related to sexual activity and gender. That forever excludes pedophilia from future acceptance.
In countries with arranged marriages and child marriage, the custom is to wait on sexual activity until later. I had a student from Saudi Arabia who was promised to a man back home. She was cool with it because she trusted her parents to make a wiser choice than she would. 🤷♂️
Even in the US, different states draw the line in different places. It's 16 in NC (not sure if there are stipulations like "with a partner up to 19"). It's 18 in other (most?) places. I think it's appropriate to distinguish between pedophilia and
ephebophilia, the former being absolutely unacceptable and the latter having some gray area. It's still cringy and icky to me, personally, but I recognize there is gray area. We all had peers when we were 16 who were more mature than some people we knew at 21, for example. In fact, the human brain doesn't finish developing until 25! Clearly we're not going to consider everyone under 25 a child, so I accept that the line may not be so clearcut. It ain't 9, though, for sure.